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NPI Code Detail

MEDICARE: WESTERN WAYNE FAMILY HEALTH CENTERS

MEDICARE: WESTERN WAYNE FAMILY HEALTH CENTERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1700H228520OTHERMIBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1972530277
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTERN WAYNE FAMILY HEALTH CENTERS
Provider Business Mailing Address
First Line : 2700 HAMLIN BLVD
Second Line :
City : INKSTER
State : MI
Zip : 48141-2206
Country : US
Telephone Number : 313-561-5100
Fax Number : 313-565-0309
Provider Business Practice Location Address
First Line : 2700 HAMLIN BLVD
Second Line :
City : INKSTER
State : MI
Zip : 48141-2206
Country : US
Telephone Number : 313-561-5100
Fax Number : 313-565-0309
Authorized Official
Title or Position : CEO
Name : MS. LINDA ATKINS
Credential :
Telephone Number : 313-561-5100
Provider Enumeration Date : 06/26/2006
Last Update Date : 10/28/2015

Similar Medicare Providers

1104856897 — ANN R GILLETT-ELRINGTON M.D.
Practice Location Address:
2700 HAMLIN BLVD
INKSTER, MI
48141-2206
Practice Phone: 313-561-5100
Practice Fax: 313-565-0309
1780838482 — BINH HOA PHAM PHD, LMFT
Practice Location Address:
2700 HAMLIN BLVD
INKSTER, MI
48141-2206
Practice Phone: 313-561-5100
Practice Fax: 313-565-0309
1083940753 — MRS. KRISTINA D. FIGARO LMSW
Practice Location Address:
2700 HAMLIN BLVD
INKSTER, MI
48141-2206
Practice Phone: 734-713-9500
Practice Fax:
1497004352 — DR. TIFFANI DANIELLE MCELRATH D.D.S
Practice Location Address:
2700 HAMLIN BLVD
INKSTER, MI
48141-2206
Practice Phone: 313-561-5100
Practice Fax: 313-565-0309
1578950283 — JONATHAN MARK HECKMAN D.O.
Practice Location Address:
2700 HAMLIN BLVD
INKSTER, MI
48141-2206
Practice Phone: 313-561-5100
Practice Fax:
1588051700 — HOLLY BELASCO LLMSW
Practice Location Address:
2700 HAMLIN BLVD
INKSTER, MI
48141-2206
Practice Phone: 734-941-4991
Practice Fax: 313-565-0309

Directions to “WESTERN WAYNE FAMILY HEALTH CENTERS ” Practice Location

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